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Trauma Guidlines - Table of Contents

I. Introduction

  • Introduction Trauma Services Guideline Manual
  • Mission Statement
  • Scope of Care
  • Trauma Team Attending Credentials
  • Trauma Surgeon Call Panel Process
  • Anesthesia Trauma Call Panel Process
  • Orthopaedic Surgeon Trauma Call Panel Process
  • Neurosurgeon Trauma Call Panel Process
  • Definition of the Trauma Patient
  • Trauma Activation/Alert process
  • Resuscitation Role Assignments with Flowchart
  • Resuscitation Priorities for the Multiple or Seriously Injured Patient with Flowchart
  • Laboratory Studies Needed in Trauma Resuscitation
  • Radiological Studies on Trauma Patients
  • Role of Trauma Services: Admit vs. Consult
  • Trauma Surgeon Consult
  • Transfer of the Trauma Patient TO Deaconess Hospital
  • Transfer of the Trauma Patient FROM Deaconess Hospital
  • Trauma Registry Process
  • Trauma Performance Improvement Plan
  • Educational Role of Deaconess Hospital in Public Education and Information
  • Pediatric Intensivist Call Panel Process

II. Reference for Acute Care

  • Air Medical Usage & Safety
  • Criteria for Acceptance, Stabilization & Transfer of the Pediatric Patient
  • Discharge Criteria for Home or Skilled Nursing Facility
  • Domestic Violence
  • DVT Prophylaxis with Algorithm & Thrombosis Risk Factor Assessment
  • Empiric Antibiotics for Trauma Patients & Critical Care Patients
  • Cervical Spine Precautions and Spine Clearance - Flowchart
  • Nursing Management for Care of Patient in Spinal Precautions
  • Operating Room Notification
  • Patient Appropriateness for Adult ICU Admissions & Discharges

III. Management and Procedures

  • Arterial Line Placement
  • Autotransfusion of Blood Using the Pleurovac Chest Drainage System
  • Backboard Removal
  • Blood & Blood Product Transfusion
  • Blunt Abdominal Trauma
  • Blunt Chest Injuries
  • Chest Tube insertion
  • Cricothyrotomy
  • Diagnostic Peritoneal Lavage
  • Emergency Resuscitation Thoracotomy with Flowchart
  • Endotracheal Intubation & Airway Management with Flowchart
  • Evaluation of Hematuria
  • Evaluation of the Widened Mediastinum
  • ICU Management of Traumatic Brain Injury & Cerebral Perfusion Pressure
  • Intravenous Line Insertion, Peripheral & Central
  • Management & Classification of Shock with Flowchart
  • Management & Stability of Pelvic Fractures with Flowchart
  • Management & Triage of Severely Burned Patients
  • Management Eye Injuries
  • Management of Kidney and Bladder Injuries
  • Operative Management of Liver and Splenic Injuries
  • Management of Penetrating Neck Injury with Flowchart
  • Management of Pericardiocentesis
  • Management of Severe Maxillofacial Injuries
  • Management of Spinal Fractures
  • Management of the Pediatric Trauma Patient
  • Management of Transmediastinal Gunshot Wound
  • Management of Traumatic Brain Injury
  • Non-operative Management of Splenic Injuries
  • Penetrating Abdominal Trauma
  • Penetrating Chest Injury
  • Penetrating Injuries of the Extremity
  • Prevention of Hypothermia
  • Trauma Surgeon “Signing Off Case”
  • Traumatic Arrest with Patient in Extremis Flowchart
  • Traumatic Quadriplegia or Paraplegia
  • Treatment & Observation of Patients Involved in Traumatic Incidents during Pregnancy
  • Evaluation of Potential Problem Drinkers and Potential Substance Abuser
  • Management for Gastrointestinal Prophylaxis

IV. Trauma Services Job Descriptions

  • Trauma Service's Organizational Chart
  • Trauma Program Specialist
  • Trauma Coding Data Quality Coordinator
  • Trauma Outreach/Injury Prevention and EMS Coordinator
  • Trauma Resource Clinician
  • Trauma Program Manager
  • Trauma Performance Improvement Medical Director
  • Trauma Medical Director
  • Trauma Surgical Medical Director Intensive Care

V. Referenced Policies/Procedures/Protocols

  • Assessment and Documentation of Trauma Patient - ED Policy Manual
  • Managing Multiple Trauma Patients in ED – ED Policy Manual
  • Level 1 Infuser - ED Policy Manual
  • Universal and Standard Precautions – Infection Control Policy Manual
  • Diversion (saturation) – Hospital Policy Manual 40-54
  • Emergency Release Blood for Trauma Activation – Blood Bank Policy Manual BB2.7 (4-02)
  • Deaconess Hospital Blood Bank Policy and Procedure Manual BB 2.7B (5-16-08), Massive Blood Transfusion Protocol.
  • Deaconess Hospital Policy and Procedure Manual 40-55 (6-2-08), Massive Blood Transfusion.
  • Hypothermic Coma Protocol - F-5165 (11-08).
  • Deaconess Hospital Policy and Procedure Manual, Intravascular Temperature Management (Alsius) (10-23-08).
  • NovoSeven Recombinant Activated Factor VIIa Protocol – F-5834 (6-08)
  • Prothrombin Complex Concentrate (PCC) Protocol – F-5880 (6-07)
  • Automatic Anticoagulation Monitoring Protocol – F-6086 (6-08)
  • Anticoagulation Reversal Protocol – F-6055 (9-08)
  • Adult Trauma Admission Orders –F-5028 (9-08)
  • Pediatric Trauma Admission Orders – F-6099 (5-08)